What are the types of scars?

Scar revision surgery will attempt to reduce a scar, so that it is less conspicuous and blends in with the surrounding skin tone and texture.

Scars are visible signs that remain after a wound has healed. They are the unavoidable results of injury or surgery, and their development can be unpredictable. Poor healing may contribute to scars that are obvious, unsightly or disfiguring. Even a wound that heals well can result in a scar that affects your appearance. Scars may be noticeable due to their size, shape, or location; they can also be raised or depressed, or differ in color or texture from the surrounding healthy tissue.

Your treatment options may vary based on the type and degree of scarring and can include:

Simple topical treatments

Minimally invasive procedures

Surgical revision with advanced techniques in wound closure

Although scar revision can provide a more pleasing cosmetic result or improve a scar that has healed poorly, a scar cannot be completely erased.

What is a scar?

Fibrous tissue replacing normal tissues destroyed by injury or disease or divided after an incision.

Contractures

By definition, a scar contracture is the result of contractile wound healing processes oc­curring in a scar that has already been re-epithelialized and adequately healed

Contractures scars affecting joint areas limit movement.
Post-burn scars are inevitable even with the best of treatment because they depend upon the depth of burn injury. Except for the superficial dermal burns, all deeper burns (2nd degree deep dermal and full thickness) heal by scarring. This scarring can only be minimised by various physical therapy measures and plastic surgical procedures but not eliminated completely. The appearance of even the best split-skin grafted areas and the donor sites of these grafts is also a “scar” by the patient’s definition of a scar

The rigid, firm, erythematous scar contracture commonly causes sig­nificant cosmetic and functional abnormalities. The medial canthus of the eye, nasal ala, oral commissure, and neck are the most common sites for scar con­tractures on the head and neck, although any area can be affected.

Methods of surgery for treating contractures.

The two aspects of the the contracture, namely form and function have to be addressed together.
Some of the methods that Dr. Shivaram Bharathwaj has perfected, is the use of skin grafts and tissue expansion.

Skin grafts are both thin and thick and the selection of the graft will depend on the site to be grafted so that there is a good tissue match in colour and texture.

Tissue expansion Tissue expansion is a relatively straightforward procedure that enables the body to "grow" extra skin for use in reconstructing almost any part of the body.

A silicone balloon expander is inserted under the skin near the area to be repaired and then gradually filled with salt water over time, causing the skin to stretch and grow. It is also used to repair skin damaged by birth defects, accidents or surgery, and in certain cosmetic procedures.

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" The standard tissue expanders available from the manufacturing companies are usually circular, rectangular or crescentic (croissant) in shape and are usually made in commonly required volumes/capacities from 50 cc to 1000 cc in increments of 50 cc-100 cc . Most defects can be quite satisfactorily reconstructed using standard expanders available off the shelf from the manufacturer. ”

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Testimonials

My daughter had burns over her abdomen and arms when she was 5 years old from an oil lamp. She underwent tissue expansion to give skin cover for the scars for a better colour and feel match. We are grateful to Dr. Shivaram Bharathwaj who has helped my daughter over the years. We are now satisfied by the results and my daughter is now able to wear a saree.

A grateful mother, Chennai

My birthmark over my chest was preventing me from wearing deep neck blouses. But with tissue expansion Dr. Shivaram Bharthwaj was able to generate enough skin for a good match. My huge birthmark was removed and covered with my own skin and is almost invisible.Luctus vitae imperdiet a, iquamorci nisi lorem. Pellentesque tincidunt laoreet est, in tristique sapien consequat a purus at ullam pulvinar, massa libero consequat egestas mas.